Individual
ANGELA MICHELLE MESENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
1020 S MAIN ST, SLC, UT 84101-3176
(801) 539-7000
Mailing address
4460 S HIGHLAND DR, SLC, UT 84124-3543
(801) 263-7169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10110415-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2019
Last updated
08/05/2019
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